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COMPLETE •N COMPLETE THIS SECTIONON DELIVER <br /> ■ Complete items 1,2,and 3.Also complete A. Sign re <br /> item 4 if Restricted Delivery is desired. lAAgent <br /> X <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the ca y B. Rec " by(Printed Na e) C Date of Delivery <br /> ■ Attach this card to the back���tI �r <. <br /> or on the front if space permits. 5� o <br /> O em 1? ❑Yes <br /> 1. Article Addressed to: "=.W: ❑No <br /> SEP 14 2010 <br /> John Funderburg <br /> Community Development Department NVIRuam00 r HEALTH <br /> 1810 E. Hazelton Avenue 3. yS,ew�ice y e <br /> Stockton, CA 95205 IAGertifiea Mail ❑Express Mail <br /> �❑Reregistered ❑Return Receipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> C9_ Aq 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7009 3410 0001 8274 6561 <br /> (Transfer from service label)__ <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />